DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haicken, Matthew A	DOIID	566724	NAIC NPN	7501364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/9/2003	10/6/2003
Inactive	Non Resident	Agent	Casualty	4/9/2003	10/6/2003
Inactive	Non Resident	Independent Adjuster	Property & Casualty	8/14/2013	10/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica Mutual Insurance Company	301405	Agent - Casualty	4/9/2003	10/6/2003
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	4/9/2003	10/6/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	9/30/2013	10/31/2015